- Henry Ford Health System (Detroit, MI)
- …direction and consultation to Case Managers, clerical staff, and departmental management. EDUCATION /EXPERIENCE REQUIRED: + Registered Nurse ( RN ) with ... GENERAL SUMMARY: Under the direction of the department director, the Education Specialist assesses, designs, and evaluates cost-effective, customer-oriented,… more
- Humana (Detroit, MI)
- …2** **years experience in health care and/or case management** + **Active Michigan Registered Nurse ( RN ) license with no disciplinary action** + **Must ... skills to make an impact** **Required Qualifications** + ** Registered Nurse , Nurse Practitioner, or Clinical Nurse Specialist with** **a minimum of… more
- Option Care Health (Detroit, MI)
- …performance reviews, discipline, etc.) BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse ( RN ) or licensed Pharmacist in the state ... and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to… more
- Deloitte (Detroit, MI)
- …degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical Documentation Specialist - CCDS (inpatient) ... as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist , utilization review, informatics RN… more
- Molina Healthcare (Sterling Heights, MI)
- …coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted in ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license...QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified… more
- Molina Healthcare (Sterling Heights, MI)
- …pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified… more
- AmeriHealth Caritas (Detroit, MI)
- … Manager (CCM) is preferred but not required. **Licensure:** + A current and unrestricted Registered Nurse ( RN ) in Michigan licensure is required. ; As a ... the Community Health Navigator, member, member caregiver as appropriate, PCP, Specialist , and Facility/Vendor Providers. + Meets regularly with designated partners… more
- Henry Ford Health System (Troy, MI)
- … education , process improvements, patient satisfaction). The Central Authorization Specialist is accountable for a designated caseload and plans effectively in ... The purpose of the Central Authorization Specialist position is to centrally facilitate the successful...quality validations of obtained authorizations as well as continuous education and opportunity feedback to a multi-disciplinary team with… more
- Sedgwick (Detroit, MI)
- …**QUALIFICATIONS** ** Education & Licensing** Bachelor's degree or equivalent preferred. RN , LVN, CRC, COHN CVD, LPC and/or LCSW preferred. Current license, ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and… more
- Molina Healthcare (Sterling Heights, MI)
- …behavioral health, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed… more
- Molina Healthcare (Sterling Heights, MI)
- …Microsoft Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse ( RN ), Licensed practical ... of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position ensures adherence to state… more
- Molina Healthcare (Sterling Heights, MI)
- …behavioral health, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed… more
- Elevance Health (Dearborn, MI)
- …designated group. + Ask questions and listen to member in order to assess case and determine needs. + Give referral and/or make referral appointment as circumstances ... + Master's degree in social work, psychology, counseling or a Bachelor's level RN .Licenses: Current, valid and unrestricted license in the State of Michigan in a… more